Active NPI
Demetris M Demetriou, MD
- Cardiovascular Disease Physician
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301058034
- Practice address
- 29645 W 14 Mile Rd
Ste 200
Farmington Hills, MI 48334-1666 - Phone
- (248) 932-3700
- Fax
- (248) 932-0958
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301058034 | MI | Primary |
Addresses
Primary practice location
29645 W 14 Mile Rd
Ste 200
Farmington Hills, MI 48334-1666
Mailing address
29645 W 14 Mile Rd
Ste 200
Farmington Hills, MI 48334-1666
Phone (248) 932-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4270452 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddemetriou53637@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060428000294 | MI | Practitioner - Cardiovascular Disease (Cardiology) | 8022086982 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Wayne State University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18101 Oakwood Blvd
Dearborn, MI 48124-4089
28100 Grand River Ave
Farmington Hills, MI 48336-5970
29645 W 14 Mile Rd
200 Beaumont Cardiovascular Specialists
Farmington Hills, MI 48334-1666
Phone (248) 932-3700
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705
4949 Coolidge Hwy
Royal Oak, MI 48073-1026
Phone (248) 655-3220
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital, Troy
- Beaumont Hospital - Dearborn
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Cardiology and Vascular Associates PC | Cardiovascular Disease | Past | Accepting new patients |
| William Beaumont Hospital | Past | Accepting new patients | |
| Cardiology and Vascular Associates PC | Past | Accepting new patients |
Locations
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
29645 W 14 Mile Rd
Ste 200
Farmington Hills, MI 48334
Phone (248) 932-3700
3601 W 13 Mile Rd
Royal Oak, MI 48073
4949 Coolidge Hwy
Royal Oak, MI 48073
Phone (248) 655-5660
Interoperability endpoints
- ddemetriou1231042@epic00.shdirect.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1962478743
Cardiovascular Disease
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1790776946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29645 W 14 MILE RD",
"address_2": "STE 200",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341666",
"telephone_number": "248-932-3700",
"fax_number": "248-932-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29645 W 14 MILE RD",
"address_2": "STE 200",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341666",
"telephone_number": "248-932-3700",
"fax_number": "248-932-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMETRIOU",
"first_name": "DEMETRIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301058034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4270452",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddemetriou53637@direct.beaumont.edu",
"affiliation": "N",
"address_1": "29645 W 14 Mile Rd",
"address_2": "Ste 200",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483341666",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.